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JAMAICA HOSPITAL MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
JAMAICA HOSPITAL MEDICAL CENTER (EIN 11-1631788)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201103199349309625
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T18:21:50-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JH COHN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN111631788EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JAMAICA HOSPITAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJAMANameControl
Phone7182066291Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18900 VAN WYCK EXPRESSWAYAddressLine1
CityJAMAICACity
StateNYState
ZIP Code11418ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMOUNIR DOSSName
TitleEXECUTIVE VP & CFOTitle
Phone7182066291Phone
Date Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMOUNIR DOSSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18900 VAN WYCK EXPRESSWAYAddressLine1
CityJAMAICACity
StateNYState
ZIP Code11418ZIPCode
FieldValueIRS element (for citing)
Gross Receipts476676301GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.JAMAICAHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1934YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE JAMAICA HOSPITAL IS AN ACUTE CARE FACILITY SERVING THE PUBLIC. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT REDUCED RATES.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees3411TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI3875084TotalGrossUBI
Net Unrelated Business Txbl Income3096976NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3605326ContributionsGrantsPriorYear
Contributions Grants Current Year6847793ContributionsGrantsCurrentYear
Program Service Revenue Prior Year408335947ProgramServiceRevenuePriorYear
Program Service Revenue CY432677595ProgramServiceRevenueCY
Investment Income Prior Year2046821InvestmentIncomePriorYear
Investment Income Current Year3006464InvestmentIncomeCurrentYear
Other Revenue Prior Year33229722OtherRevenuePriorYear
Other Revenue Current Year33967164OtherRevenueCurrentYear
Total Revenue Prior Year447217816TotalRevenuePriorYear
Total Revenue Current Year476499016TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year258400587SalariesEtcPriorYear
Salaries Etc Current Year269946638SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year191055408OtherExpensePriorYear
Other Expenses Current Year201250225OtherExpensesCurrentYear
Total Expenses Prior Year449455995TotalExpensesPriorYear
Total Expenses Current Year471196863TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2238179RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5302153RevenuesLessExpensesCY
Total Assets BOY228389593TotalAssetsBOY
Total Assets EOY243560485TotalAssetsEOY
Total Liabilities BOY300479952TotalLiabilitiesBOY
Total Liabilities EOY295323948TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-72090359NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-51763463NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE JAMAICA HOSPITAL IS AN ACUTE CARE FACILITY SERVING THE PUBLIC. ITS SERVICES INCLUDE ACUTE, MEDICAL REHABILITATION, AND PSYCHIATRIC CARE. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense439465222Expense
Revenue432677595Revenue
DescriptionJAMAICA HOSPITAL IS A 384-BED, FULLY ACCREDITED COMMUNITY TEACHING HOSPITAL WITH A LARGE NETWORK OF COMMUNITY-BASED AMBULATORY CARE CENTERS. JHMC OFFERS A FULL ARRAY OF ACUTE INPATIENT REHABILITATION AND MENTAL HEALTH SERVICES, THE LARGEST VOLUNTARY HOSPITAL AMBULANCE FLEET SERVING THE CITY'S 911 SYSTEM AND A LEVEL 1 TRAUMA CENTER.Description
Total Program Service Expense439465222TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096737NumberFormsTransmittedWith1096
Number W2 G Included10NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3411NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MANZAR SASSANIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7182066291TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18900 VAN WYCK EXPRESSWAYAddressLine1
CityJAMAICACity
StateNYState
ZIP Code11418ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ANTHONY DIMARIA MD
SECRETARY40.00XX022075349521
ANTONIETTA MORISCO MD
TRUSTEE1.00X000
ARCHIE SPIGNER
ASSISTANT SECRETARY1.00XX000
GEOFFREY DOUGHLIN MD
THIRD VICE CHAIRMAN40.00XX389144061007
GERALDINE M CHAPEY PHD
TRUSTEE1.00X000
HECTOR ESTEPAN MD
TRUSTEE1.00X000
HON TIMOTHY J DUFFICY
TRUSTEE1.00X000
JOHN MARUS
FIRST VICE CHAIRMAN1.00XX000
JOSEPH FERRARA
ASSISTANT TREASURER1.00XX000
NEIL FOSTER PHILLIPS
CHAIRMAN1.00XX000
ROBERT W KOOP
SECOND VICE CHAIRMAN & TRE1.00XX000
WILLIAM DOUG SINGER
TRUSTEE1.00X000
BRUCE FLANZ
EXEC. VP & COO80.00X59455774558670165
DAVID ROSEN
PRESIDENT & CEO80.00X88454485342171372
MOUNIR DOSS
EXEC. VP & CFO80.00X62485675800172404
GIDEON YOELI
RADIOLOGIST40.00422278059702X
ROBERT GREENBAUM
RADIOLOGIST40.00425730061573X
ROBERT SMITH MD
RADIOLOGIST40.00000X
SABIHA RAOOF MD
CHAIR PERSON DEPT RADIOLOG40.00496583045595X
STEVEN INGLIS MD
CHAIRMAN DEPT OBGYN40.00510406027733X
THOMAS SANTUCCI MD
CHAIRMAN DEPT MEDICINE40.00463343064667X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4811441TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2577761TotalReportableCompFrmRltdOrgs
Total Other Compensation583739TotalOtherCompensation
Number Individuals GT100 K255NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OCEANSIDE INSTITUTION INDUST
2525 LONG BEACH ROADOCEANSIDENY11572LAUNDRY CLEANING SERVICES1109919
ARAMARK MANAGEMENT SERVICE
2300 WARRENVILLE ROADDOWNERS GROVEIL60693CLEANING SERVICES887112
PRICEWATERHOUSE COOPERS LLP
PO BOX 7247-8001PHILADELPHIAPA191708001AUDITING SERVICES431327
NEURO AXIS
PO BOX 74-7821REGO PARKNY113747821MEDICAL CONTRACTED SERVICES337500
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Fundraising Events89000FundraisingEvents
Related Organizations5000RelatedOrganizations
Government Grants3631522GovernmentGrants
All Other Contributions3122271AllOtherContributions
Total Contributions6847793TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE621400374305956374305956
CAPITATION REVENUE6214004302050743020507
PROFESSIONAL COMPONENT6214001337259313372593
TEACHING AND EDUCATION90009919785391978539
FieldValueIRS element (for citing)
Total Program Service Revenue432677595TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2560238TotalRevenueColumn
Unrelated Business Revenue478469UnrelatedBusinessRevenue
Exclusion$2,081,769ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real905849Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real905849Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column905849TotalRevenueColumn
Exclusion$905,849ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities442365Securities
Other3861Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities442365Securities
Other3861Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column446226TotalRevenueColumn
Related Or Exempt Function Income3861RelatedOrExemptFunctionIncome
Exclusion$442,365ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events468247GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events89000CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses177285FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column290962TotalRevenueColumn
Exclusion$290,962ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
REIMBURSE FOR SERVICES9000991551618315516183
EARNINGS FROM JOINT VE523000114529813337511$8,115,470
MANAGEMENT FEE90009949999994999999

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column801190TotalRevenueColumn
Related Or Exempt Function Income668428RelatedOrExemptFunctionIncome
Unrelated Business Revenue59104UnrelatedBusinessRevenue
Exclusion$73,658ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue32770353TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column476499016TotalRevenueColumn
Related Or Exempt Function Income453866066RelatedOrExemptFunctionIncome
Unrelated Business Revenue3875084UnrelatedBusinessRevenue
Exclusion$11,910,073ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2768049Total
Program Services2491244ProgramServices
Management And General276805ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total198808971Total
Program Services178928074ProgramServices
Management And General19880897ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total14450649Total
Program Services13005584ProgramServices
Management And General1445065ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total37198335Total
Program Services33478501ProgramServices
Management And General3719834ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16720634Total
Program Services15048571ProgramServices
Management And General1672063ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1929056Total
Program Services1736150ProgramServices
Management And General192906ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total324116Total
Program Services291704ProgramServices
Management And General32412ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total44375220Total
Program Services43423715ProgramServices
Management And General951505ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2628133Total
Program Services2391813ProgramServices
Management And General236320ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1847496Total
Program Services1662746ProgramServices
Management And General184750ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8692858Total
Program Services7876145ProgramServices
Management And General816713ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total47372Total
Program Services47372ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total4603668Total
Program Services4143301ProgramServices
Management And General460367ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9960553Total
Program Services8964498ProgramServices
Management And General996055ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total37116484Total
Program Services36993094ProgramServices
Management And General123390ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT3838132538381325
MEDICAL SUPPLIES3305818233058182
COLLECTION AGENCY27327402732740
FOOD PURCHASE SERVICES25327332532733
EMPLOYMENT AGENCY22818002053620228180

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10738489Total
Program Services10224110ProgramServices
Management And General514379ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total471196863Total
Program Services439465222ProgramServices
Management And General31731641ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY164057BOY
EOY1545123EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY58235BOY
EOY1895462EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY65805769BOY
EOY59942716EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1708292BOY
EOY3551308EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5021292BOY
EOY6084821EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis245469542LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec193482409LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY52002070BOY
EOY51987133EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY64339778BOY
EOY72860497EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY39290100BOY
EOY45693425EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY228389593BOY
EOY243560485EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY82075926BOY
EOY81420722EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY666055BOY
EOY416776EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY46919280BOY
EOY40439280EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1354820BOY
EOY1277039EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY169463871BOY
EOY171770131EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY300479952BOY
EOY295323948EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-72182036BOY
EOY-51855140EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY91677BOY
EOY91677EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-72090359BOY
EOY-51763463EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY228389593BOY
EOY243560485EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5302153ReconcilationRevenueExpenses
Reconcilation Other Changes15024743ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$401,021DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB401021TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationJAMAICA HOSPITAL MEDICAL CENTER IS A MEMBER OF TWO ASSOCIATIONS OF WHICH SOME OF THEIR DUES ARE ALLOCATED TO GRASS ROOTS LOBBYING IN REGARD TO THEIR NEEDS IN SERVICING AND PROVIDING HEALTHCARE TO THE GENERAL PUBLIC. GNYHA & 1199 JAMAICA NH $13,076 GNYHA & 1199 JAMAICA HOSPITAL $204,042 HANYS $18,340 OHRESTEIN & BROWN $145,561 WHO GOVERNMENT $20,000Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1018049OtherCostOrOtherBasis
Book Value1018049BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis90636354OtherCostOrOtherBasis
Depreciation63576834Depreciation
Book Value27059520BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3551057OtherCostOrOtherBasis
Depreciation2623994Depreciation
Book Value927063BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis146294191OtherCostOrOtherBasis
Depreciation125516561Depreciation
Book Value20777630BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3969891OtherCostOrOtherBasis
Depreciation1765020Depreciation
Book Value2204871BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings51987133TotalOfBookValueLandBuildings

Other Securities OtherSecurities (8 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN NHP HOLDINGS26194783C
JHMC HEALTHFIRST16080615C
JMHC NORTHFOLK ST INVESTMENT77642F
US GOVT SECURITIES8720347F
MUTUAL FUNDS5303677F
US GOVERNMENT BONDS315000F
CORPORATE BONDS13250433F
EQUITY SECURITIES2918000F
FieldValueIRS element (for citing)
Total Of Book Value Securities72860497TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM THIRD PARTY PAYORS21628384
DUE FROM RELATED PARTIES11443047
MHI & HF PAYMENT LAG7515465
DEFERRED FINANCING COSTS974029
INTEREST IN CCC INVESTMENT TRUST4132500
FieldValueIRS element (for citing)
Total Book Value Other Assets45693425TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
CASH OVERDRAFT$6,695,762
DUE TO THIRD PARTY$31,460,713
CAPITAL LEASE OBLIGATIONS$7,397,684
MALPRACTICE INSURANCE$93,231,182
PENSION PAYABLE$32,984,790
FieldValueIRS element (for citing)
Total Of Amounts171770131TotalOfAmounts
Total Revenue476499016TotalRevenue
Total Expenses471196863TotalExpenses
Excess Or Deficit For Year5302153ExcessOrDeficitForYear
Net Unrealized GL On Investments132706NetUnrealizedGLOnInvestments
Other$14,892,037OtherAmount
Total Adjustments15024743TotalAdjustments
Excess Or Deficit Per FS20326896ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt534524088TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments132706NetUnrealizedGainsInvestments
Other Revenues-15480OtherRevenues
Revenue Not Rptd F990117226RevenueNotRptdF990
Revenue Subtotal534406862RevenueSubtotal
Other Revenues Not Included-57907846OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-57907846RevenueNotRptdOnFinStmt
Total Revenue Per Form990476499016TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt529089229TotExpensesEtcAuditedFinclStmt
Other Expenses Included57907846OtherExpensesIncluded
Expenses Not Rptd F99057907846ExpensesNotRptdF990
Expenses Subtotal471181383ExpensesSubtotal
Other Expenses Not Included15480OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt15480ExpensesNotRptdOnFinStmt
Total Expenses Per Form990471196863TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHARGEBACK -15,480.
PART XII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE MOVED FROM EXPENSES -177,285. CAPITATION EXPENSE MOVED FROM EXPENSES -57,730,561.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE MOVED TO REVENUE 177,285. CAPITATION EXPENSE MOVED TO REVENUE 57,730,561.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:CHARGE BACK 15,480.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL DINNERNameOfEvent1
Gross Receipts Event1371797GrossReceiptsEvent1
Charitable Contributions Event160500CharitableContributionsEvent1
Gross Revenue Event1311297GrossRevenueEvent1
Other Direct Expenses Event190317OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event2185450GrossReceiptsEvent2
Charitable Contributions Event228500CharitableContributionsEvent2
Gross Revenue Event2156950GrossRevenueEvent2
Other Direct Expenses Event286968OtherDirectExpensesEvent2
Gross Receipts Total557247GrossReceiptsTotal
Charitable Contributions Total89000CharitableContributionsTotal
Gross Revenue Total Events468247GrossRevenueTotalEvents
Other Direct Expenses Total Events177285OtherDirectExpensesTotalEvents
Direct Expense Summary Events177285DirectExpenseSummaryEvents
Net Income Summary290962NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense23579459TotalCommunityBenefitExpense
Direct Offsetting Revenue3897424DirectOffsettingRevenue
Net Community Benefit Expense19682035NetCommunityBenefitExpense
Percent Of Total Expense0.04180PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense172165922TotalCommunityBenefitExpense
Direct Offsetting Revenue157156568DirectOffsettingRevenue
Net Community Benefit Expense15009354NetCommunityBenefitExpense
Percent Of Total Expense0.03190PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense195745381TotalCommunityBenefitExpense
Direct Offsetting Revenue161053992DirectOffsettingRevenue
Net Community Benefit Expense34691389NetCommunityBenefitExpense
Percent Of Total Expense0.07370PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served67937PersonsServed
Total Community Benefit Expense479991TotalCommunityBenefitExpense
Direct Offsetting Revenue190727DirectOffsettingRevenue
Net Community Benefit Expense289264NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense50800784TotalCommunityBenefitExpense
Direct Offsetting Revenue17301430DirectOffsettingRevenue
Net Community Benefit Expense33499354NetCommunityBenefitExpense
Percent Of Total Expense0.07110PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense27670032TotalCommunityBenefitExpense
Net Community Benefit Expense27670032NetCommunityBenefitExpense
Percent Of Total Expense0.05870PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served67937PersonsServed
Total Community Benefit Expense78950807TotalCommunityBenefitExpense
Direct Offsetting Revenue17492157DirectOffsettingRevenue
Net Community Benefit Expense61458650NetCommunityBenefitExpense
Percent Of Total Expense0.13040PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served67937PersonsServed
Total Community Benefit Expense274696188TotalCommunityBenefitExpense
Direct Offsetting Revenue178546149DirectOffsettingRevenue
Net Community Benefit Expense96150039NetCommunityBenefitExpense
Percent Of Total Expense0.20410PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$15,928,673BadDebtExpenseAmount
Amount Reimbursed By Medicare66473039AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare42710163CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall23762876MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1JAMAICA HOSPITAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line18900 VAN WYCK EXPRESSWAYAddressLine1
CityJAMAICACity
StateNYState
ZIP Code11418ZIPCode
FieldValueIRS element (for citing)
General Medical And SurgicalXGeneralMedicalAndSurgical

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JAMAICA HOSPITAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

ExplanationExplanation
POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED. PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO DEFINE THEIR RESPONSIBILITY TO CONTRIBUTE TO THEIR CARE BASED ON THEIR ABILITY TO PAY. PROCEDURE: BILLING AND COLLECTIONS:JAMAICA HOSPITAL MEDICAL CENTER PROVIDES INFORMATION ABOUT THE AVAILABILITY OF A FINANCIAL ASSISTANCE PROGRAM ON ALL BILLS AND STATEMENTS SENT TO PATIENTS. ADDITIONALLY, THE HOSPITAL REQUIRES OUTSIDE CONTRACTED COLLECTIONS AGENCIES TO PROVIDE TO PATIENTS INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAMS WHEN APPROPRIATE. ANY ACCOUNTS REFERRED TO COLLECTION FOR WHICH A PATIENT IS APPLYING FOR FINANCIAL ASSISTANCE WILL BE REFERRED BACK TO THE HOSPITAL FOR APPLICATION.THE HOSPITAL MAY REQUIRE A DEPOSIT BEFORE PROVIDING NON-EMERGENT, MEDICALLY NECESSARY CARE, AND IT WILL BE INCLUDED AS PART OF ANY FINANCIAL ASSISTANCE CONSIDERATION. FOR INDIVIDUALS WHOSE INCOMES ARE AT OR BELOW 100% FPL, THE HOSPITAL COLLECTS NO MORE THAN A NOMINAL PAYMENT AMOUNT, CONSISTENT WITH GUIDELINES ESTABLISHED BY THE NEW YORK STATE COMMISSIONER OF HEALTH. THE CURRENT GUIDELINES - THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO ELIGIBLE PATIENTS ARE: $150/DISCHARGE FOR INPATIENT SERVICES, $150/PROCEDURE FOR AMBULATORY SURGERY, $150/PROCEDURE FOR MRI TESTING, $15/VISIT FOR ADULT ER/CLINIC SERVICES, AND NO CHARGE FOR PRENATAL AND PEDIATRIC ER/CLINIC SERVICES. FOR INDIVIDUALS WITH INCOMES BETWEEN 101% AND 150% FPL, THE HOSPITAL COLLECTS NO MORE THAN A PROPORTIONAL SLIDING FEE SCHEDULE THAT INCREASES FROM THE NOMINAL PAYMENT AMOUNT UP TO 20% OF THE AMOUNT THAT WOULD HAVE BEEN PAID FOR THE SAME SERVICES BY MEDICAID DEPENDING ON THE SERVICE. FOR INDIVIDUALS WITH INCOMES BETWEEN 151% AND 250%
PART II: JAMAICA HOSPITAL'S PROGRAMS SUPPORT TCNY IN THE FOLLOWING WAYS:HAVE A REGULAR DOCTOR OR OTHER HEALTH CARE PROVIDER: JAMAICA'S AMBULATORY CARE SERVICES ARE DESIGNED TO PROMOTE CONTINUITY OF CARE BY ALLOWING PATIENTS TO CHOOSE A PHYSICIAN WHO WILL BE DESIGNATED AS THEIR PRIMARY CARE PROVIDER. IN ADDITION TO ON-CAMPUS AMBULATORY CARE SERVICES, THERE ARE TWELVE CENTERS CONVENIENTLY LOCATED THROUGHOUT JAMAICA'S SERVICE AREA. EVENING AND WEEKEND HOURS ALLOW RESIDENTS ACCESS FOR THOSE WHO FIND IT DIFFICULT TO SEEK CARE ON WEEKDAYS. THE DESIGNATED PROVIDER IS RESPONSIBLE FOR ENSURING THAT HIS/HER PATIENTS ARE GIVEN AGE APPROPRIATE SCREENING, IMMUNIZATION AND EDUCATION. THE HOSPITAL PLANS TO IMPLEMENT AN ELECTRONIC MEDICAL RECORD, WHICH WILL FURTHER ENHANCE ITS HEALTH PROMOTION EFFORTS VIA AUTOMATIC REMINDERS TO PHYSICIANS WHEN A PATIENT IS DUE FOR A TEST OR PROCEDURE.BE TOBACCO-FREE: SMOKING CESSATION IS ONE OF THE HOSPITAL'S PREVENTION PRIORITIES AND WAS DISCUSSED IN THE PREVIOUS SECTION. KEEP YOUR HEART HEALTHY: JAMAICA'S PRIMARY CARE PHYSICIANS MONITOR PATIENTS' CARDIOVASCULAR STATUS DURING ROUTINE VISITS AND AS INDICATED DURING ACUTE CARE VISITS, INCLUDING CHOLESTEROL TESTING AND EKGS. PHYSICIANS PROVIDE COUNSELING TO PATIENTS ON OBESITY AND NUTRITION AS PART OF THE ROUTINE HEALTH MAINTENANCE CHECK. CHILDREN AND ADULTS NEEDING FURTHER SERVICES ARE REFERRED TO JAMAICA'S FULL-SERVICE ADULT AND PEDIATRIC CARDIOLOGY SERVICES, OR OTHER COMMUNITY RESOURCES. JHMC IS A COLLABORATIVE PARTNER WITH FLUSHING HOSPITAL ON A GRANT FROM NYS HEALTH FOUNDATION - BEST PRACTICES FOR ADVANCING THE STANDARD OF DIABETES CARE. THE HIGH RISK OF HEART DISEASE FOR DIABETICS IS WELL KNOWN. THE HOSPITAL HAS ESTABLISHED A PRIMARY CARE DIABETES CLINIC WITH THIS FUNDING. KNOW YOUR HIV STATUS: THE HOSPITAL PROVIDES HIV COUNSELING AND TESTING WITH STAFF THAT ROUTINELY PERFORMS THIS FUNCTION IN BOTH EMERGENCY DEPARTMENT AND CLINICS. THE HOSPITAL'S AMBULATORY CARE CENTER IS DESIGNATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AS AN HIV PRIMARY MEDICAL CARE PROVIDER. PATIENTS WHO ARE HIV POSITIVE ARE CARED FOR IN THIS FACILITY AND REFERRED TO OTHER COMMUNITY SERVICE PROGRAMS FOR SUPPORTIVE SERVICES AS NECESSARY. THE HOSPITAL APPLIED AND WAS APPROVED FOR A GRANT IN THE SPRING 2010 FROM THE NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH) TO PROVIDE HIV/STI PREVENTION FOR WOMEN AND YOUNG PEOPLE.GET HELP FOR DEPRESSION: JAMAICA HOSPITAL'S MEDICAL PROVIDERS INCORPORATE DEPRESSION SCREENING DURING ROUTINE MEDICAL EXAMINATIONS AND ONGOING CARE. CHILDREN AND ADULTS NEEDING FURTHER SERVICES ARE REFERRED TO JAMAICA'S FULL SERVICE PSYCHIATRY DEPARTMENT OR OTHER COMMUNITY PROGRAMS. LIVE FREE OF DEPENDENCE ON ALCOHOL AND DRUGS: DURING ROUTINE MEDICAL EXAMINATIONS PATIENTS ARE SCREENED FOR ALCOHOL AND DRUG USE AND GIVEN PREVENTIVE COUNSELING AND, AS NECESSARY, TREATMENT OPTIONS ARE DISCUSSED, INCLUDING FLUSHING HOSPITAL, JAMAICA'S AFFILIATE, WHICH OFFERS BOTH IN-PATIENT AND OUT-PATIENT TREATMENT FOR CHEMICAL DEPENDENCY.GET CHECKED FOR CANCER: THE HOSPITAL EMPLOYS A COLONOSCOPY SCREENING PATIENT NAVIGATOR TO DECREASE CANCELLATIONS DUE TO POOR PREPARATION AND NO SHOWS AND TO PROVIDE OUTREACH SERVICES TO INCREASE THE NUMBER OF PATIENTS RECEIVING COLONOSCOPY SCREENING. REFERRALS FOR OTHER CANCER SCREENINGS, SUCH AS BREAST CANCER, ARE PART OF THE HOSPITAL'S ROUTINE PROTOCOLS. THE HOSPITAL PARTICIPATES IN THE QUEENS HEALTHY LIVING PARTNERSHIP WHICH PROVIDES FREE CANCER SCREENING AND TREATMENTS FOR THE UNINSURED. GET THE IMMUNIZATIONS YOU NEED: IN 2009, THE HOSPITAL WAS AN ACTIVE PARTICIPANT WITH THE NEW YORK CITY DEPARTMENT OF HEALTH'S H1N1 VACCINE CAMPAIGN. IN THE SUMMER/EARLY FALL SIGNIFICANT EFFORTS NEEDED TO BE FOCUSED ON COPING WITH THE POTENTIAL H1N1 EPIDEMIC. PREPARATIONS INCLUDED DEVELOPING POLICIES AND PROCEDURES TO DEAL WITH NEW REGULATIONS PROMULGATED BY THE NYSDOH INCLUDING MANDATORY VACCINATION OF EMPLOYEES FOR SEASONAL INFLUENZA. DUE TO THE INABILITY OF THE VACCINE MANUFACTURERS TO INCLUDE H1N1 VACCINE IN THE ROUTINE SEASONAL FLU MANUFACTURING PROCESS, TWO VACCINES NEEDED TO BE DEVELOPED. ISSUES REGARDING SAFETY AND AVAILABILITY HAMPERED EFFORTS IN THIS CAMPAIGN. THE HOSPITAL WAS A MAJOR PARTICIPANT IN THE NEW YORK CITY IMMUNIZATION CAMPAIGN INCLUDING PARTICIPATION IN THE WEB SITE FLU LOCATOR PROJECTOR. H1N1 WAS AVAILABLE TO THE GENERAL PUBLIC AT MOST OF THE SITES IN THE HOSPITALS AMBULATORY CARE NETWORK. APPROXIMATELY 25,000 DOSES OF SEASONAL AND H1N1 VACCINE WERE ADMINISTERED IN THE JHMC NETWORK. HAVE A SAFE AND HEALTHY HOME: ANTICIPATORY GUIDANCE ON SAFETY IN THE HOME IS PROVIDED BY THE HOSPITAL'S PEDIATRIC, FAMILY MEDICINE AND REHABILITATION PROFESSIONALS. AT HEALTH FAIRS IN THE COMMUNITY, FIRE, HOME AND AUTOMOTIVE SAFETY INFORMATION IS ROUTINELY MADE AVAILABLE TO ATTENDEES.HAVE A HEALTHY BABY: THE HOSPITAL IS DESIGNATED AS A PRENATAL CARE ASSISTANCE PROGRAM (PCAP) PROVIDER. THE HOSPITAL OPERATES A WOMEN, INFANT AND CHILDREN (WIC) PROGRAM FUNDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH PROVIDES FOOD VOUCHERS AND EDUCATION TO LOW INCOME PREGNANT WOMEN AND CHILDREN UP TO AGE FIVE.JAMAICA HOSPITAL'S PUBLIC HEALTH EFFORTS ARE CONSTANTLY CHANGING WITH THE NEEDS OF ITS COMMUNITY. THE ABOVE LISTING DOES NOT INCLUDE ALL PROGRAMS, SOME OF WHICH ARE FUNDED BY GRANTS SUCH AS THE SCHOOL HEALTH PROGRAM PRIMARILY FUNDED BY NEW YORK STATE DEPARTMENT OF HEALTH WHICH OPERATES IN TWO ELEMENTARY SCHOOLS AND A CAMPUS MAGNET SCHOOL CONSISTING OF FOUR HIGH SCHOOLS. IN ADDITION, CLINICAL DEPARTMENTS OFTEN INITIATE THEIR OWN PREVENTION ACTIVITIES WITH THEIR PATIENTS AND WITHIN THE COMMUNITY. LASTLY, THE HOSPITAL PROVIDES HUNDREDS OF FREE HEALTH SCREENINGS AND OUTREACH EFFORTS EACH YEAR FOR A VARIETY OF DISORDERS.
PART III, LINE 9B: THE HOSPITAL OFFERS INSTALLMENT PLANS FOR THE PAYMENT OF OUTSTANDING BALANCES FOR PATIENTS APPROVED FOR FINANCIAL AID. THE HOSPITAL DOES NOT MANDATE THAT THE MONTHLY INSTALLMENT PAYMENT ARRANGEMENT EXCEED 10% OF THE APPLICANT'S GROSS MONTHLY INCOME OR AN INTEREST RATE THAT EXCEEDS THE RATE FOR A 90-DAY SECURITY ISSUED BY THE US DEPARTMENT OF TREASURY, PLUS 0.5%. THERE IS NO ACCELERATOR OR SIMILAR CLAUSE UNDER WHICH A HIGHER RATE OF INTEREST IS TRIGGERED WHEN A PATIENT MISSES MAKING A PAYMENT. THE HOSPITAL INCLUDES A WRITTEN NOTICE ON PATIENTS' BILLS AND STATEMENTS AT LEAST 30 DAYS PRIOR TO REFERRING THE ACCOUNT TO COLLECTION. THE HOSPITAL REQUIRES THAT ANY COLLECTIONS AGENCIES WITH WHICH THEY CONTRACT FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE HOSPITAL. THE HOSPITAL DOES NOT FORCE THE SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE TO COLLECT ON AN OUTSTANDING BILL. COLLECTION IS PROHIBITED AGAINST ANY PATIENT WHO WAS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED. FINALLY, THE CONTRACTED COLLECTIONS AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT BEFORE COMMENCING A LEGAL ACTION.
JHMC COMMUNITY SERVICE PLAN 2010 SUMMARYMISSION STATEMENT TO SERVE OUR PATIENT AND THE COMMUNITY IN A WAY THAT IS SECOND TO NONE.SERVICE AREASINCE 1891, JAMAICA HOSPITAL MEDICAL CENTER HAS PROVIDED QUALITY HEALTHCARE TO ITS COMMUNITY. THE HOSPITAL IS LOCATED AT 8900 VAN WYCK EXPRESSWAY, IN JAMAICA, QUEENS COUNTY, NEW YORK. JAMAICA HOSPITAL SERVES THREE PRIMARY SERVICE AREAS - SOUTHWEST QUEENS, JAMAICA AND EAST NEW YORK - BROOKLYN, AND TWO SECONDARY SERVICE AREAS - SOUTHEAST QUEENS, AND WEST CENTRAL QUEENS. THE TOTAL SERVICE AREA HAS OVER 1 MILLION RESIDENTS, 36% BEING BLACK/AFRICAN AMERICAN AND 40% BEING FOREIGN BORN. EACH NEIGHBORHOOD IS SOMEWHAT DIFFERENT IN TERMS OF ITS RACIAL AND ETHNIC MAKE-UP. MUCH OF THE HOSPITAL'S SERVICE AREA SUFFERS FROM POVERTY, WITH 25% MEDICAID ELIGIBLE, AND MANY UNINSURED RESIDENTS, AS WELL AS MANY DOCUMENTED AND UNDOCUMENTED IMMIGRANTS, SOME OF WHOM SPEAK LIMITED OR NO ENGLISH.SELECTED SERVICE OFFERINGS - 2008 387-BED COMMUNITY TEACHING HOSPITAL ADULT AND PEDIATRIC EMERGENCY DEPARTMENTS PSYCHIATRIC EMERGENCY DEPARTMENT STATE DESIGNATED LEVEL I TRAUMA CENTER STATE DESIGNATED STROKE CENTER STATE DESIGNATED LEVEL 3 PERINATAL CENTER CORONARY ANGIOPLASTY SERVICE 12 AMBULATORY CARE CENTERS OPERATES 21 TOURS DAILY IN THE NYC 911 SYSTEM, WITH 5 AMBULANCES 24 HOURS PER DAY AND 3 AMBULANCES 16 HOURS PER DAY. JAMAICA SPONSORS 6 RESIDENCY, AND 2 FELLOWSHIP PROGRAMS, WITH APPROXIMATELY 150 RESIDENTS. RESIDENTS ROTATE TO JAMAICA FROM OTHER INSTITUTIONS IN THE SPECIALTIES OF PEDIATRICS, ORTHOPEDIC SURGERY, REHABILITATION MEDICINE AND GENERAL SURGERY. AFFILIATED NURSING HOME (TRUMP PAVILION)PATIENTS SERVED - 2009 OVER 26,000 DISCHARGES, INCLUDING ALMOST 2,700 NEWBORNS OVER 113,500 EMERGENCY DEPARTMENT VISITS, INCLUDING ADMISSIONS TO THE HOSPITAL TOGETHER WITH ITS AFFILIATED DIAGNOSTIC AND TREATMENT CENTER, OVER 385,000 AMBULATORY CARE VISITS INCLUDING GENERAL MEDICAL AND PEDIATRIC SERVICE, MENTAL HEALTH AND DENTAL SERVICES MANY OTHER AMBULATORY CARE SERVICES, INCLUDING RADIOLOGY EXAMS, LABORATORY TESTS, AND AMBULATORY SURGERY. IN 2008, STAFF FROM JAMAICA HOSPITAL PARTICIPATED AT OVER 30 COMMUNITY EVENTS. MORE THAN 13,000 PEOPLE WERE IN ATTENDANCE AND RECEIVED HEALTH INFORMATION AND OVER 579 PEOPLE RECEIVED FREE SCREENINGS PREVENTION AGENDAIN 2009, NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH) ADDED NEW REQUIREMENTS FOR COMMUNITY SERVICE PLANS TO INCLUDE A PREVENTION AGENDA WITH A SPECIFIC ACTION PLAN. THE PLAN IS TO BE DEVELOPED IN CONJUNCTION WITH COMMUNITY PARTNERS. THE FOLLOWING IS A SUMMARY OF THE HOSPITAL'S ACCOMPLISHMENTS AND PREVENTION PLANS FOR THE FUTURE.PUBLIC PARTICIPATION IN APRIL OF 2009, A HOSPITAL WORKGROUP DISCUSSED POSSIBLE PRIORITIES FOR JAMAICA HOSPITAL, THE NEEDS OF THE HOSPITAL'S SERVICE AREA, POTENTIAL PARTNERS, AND BARRIERS TO CARE/GAPS IN SERVICES. THE WORKGROUP UTILIZED DATA FROM THE NEW YORK CITY COMMUNITY HEALTH PROFILES, INCLUDING THE CITY'S TAKE CARE NEW YORK (TCNY) PREVENTION TARGETS, AS WELL AS PREVENTION QUALITY INDICATORS PROVIDED ON THE NYSDOH WEBSITE. IN ADDITION, THE WORKGROUP TOOK INTO CONSIDERATION THE SUGGESTION BY THE NYCDOH&MH COMMISSIONER THAT SMOKING CESSATION AND CANCER SCREENING BE TOP PRIORITIES FOR HOSPITALS IN THE CITY OF NEW YORK. IN MAY OF 2009, THE WORKGROUP'S RECOMMENDED PREVENTION PRIORITIES WERE SHARED WITH THE COMMUNITY BOARD FOR HEALTH CARE (COMMUNITY BOARD). THE COMMUNITY BOARD IS AN ADVISORY GROUP WHICH SERVES AS A PUBLIC FORUM TO PROVIDE INFORMATION TO THE COMMUNITY AND RECEIVE FEEDBACK ON NEEDED SERVICES AND PROGRAMS THAT THE COMMUNITY FEELS THE HOSPITAL SHOULD PROVIDE. THE COMMUNITY BOARD CONSISTS OF MEMBERS FROM THE LOCAL NEW YORK CITY COMMUNITY PLANNING BOARDS SERVED BY JAMAICA HOSPITAL AND REPRESENTATIVES FROM VARIOUS FAITH AND COMMUNITY BASED ORGANIZATIONS. THE TWO PRIORITIES CHOSEN WERE SMOKING CESSATION AND COLON CANCER SCREENING.IN JUNE 2009, THE SELECTED PRIORITIES WERE SHARED WITH THE HOSPITAL'S BOARD OF TRUSTEES AND DEPARTMENT HEADS AT THEIR RESPECTIVE MEETINGS. DURING THE SUMMER OF 2009, THE WORKGROUP DEVELOPED THE PREVENTION AGENDA THREE YEAR ACTION PLAN INCLUDING A MARKETING CAMPAIGN. MEMBER ORGANIZATIONS OF THE HOSPITAL'S COMMUNITY BOARD WILL PARTICIPATE BY PUBLICIZING AND DISSEMINATING CAMPAIGN MATERIAL, AND SCHEDULING SPEAKERS FROM THE HOSPITAL AT FORUMS TO BE ARRANGED BY THE BOARD'S MEMBERS.SMOKING CESSATION PROGRAMJAMAICA HOSPITAL IS MAKING SIGNIFICANT INVESTMENTS IN HELPING COMMUNITY RESIDENTS QUIT SMOKING. JHMC HAS PARTNERED WITH THE QUEENS QUITS CAMPAIGN ON SMOKING CESSATION. QUEENS QUITS HAS ALREADY IN-SERVICED A GROUP OF PHYSICIANS AND IS IN THE PROCESS OF SCHEDULING ADDITIONAL EDUCATIONAL SESSIONS. JHMC IS DEVELOPING AN AWARENESS CAMPAIGN TO THE PUBLIC WHICH WILL INCLUDE POSTERS AND FLYERS DISTRIBUTED TO COMMUNITY AGENCIES WHO HAVE AGREED TO PARTNER WITH JHMC AND THE HOSPITAL'S EXTENSIVE AMBULATORY CARE NETWORK. THE HOSPITAL'S 3-YEAR PREVENTION ACTION PLAN INCLUDES THE FOLLOWING OBJECTIVES: RAISE SMOKING CESSATION PROGRAM AWARENESS WITHIN THE HOSPITAL AND COMMUNITY EDUCATE PROVIDERS IN COUNSELING TECHNIQUES TO ENCOURAGE SMOKING CESSATION REVIEW PHYSICIAN PERFORMANCE WITH IDENTIFYING SMOKERS AND PROVIDING ADVICE ENCOURAGE ONGOING INPUT AND SUPPORT FROM COMMUNITY PARTNERSFOR MORE INFORMATION, CONTACT FRED BEEKMAN AT 718-206-7050.COLON SCREENING PROGRAM JAMAICA HOSPITAL HAS MADE SIGNIFICANT INVESTMENTS IN HELPING COMMUNITY RESIDENTS DETECT THIS CANCER AS EARLY AS POSSIBLE AND, IF DETECTED, TO MANAGE THIS SEROUS HEALTH PROBLEM. JHMC WAS PRIVILEGED TO BE PART OF THE "COLONOSCOPY SCREENING NAVIGATOR PROGRAM," WHICH RECEIVED ONE YEAR SEED FUNDING BY THE NEW YORK CITY DEPARTMENT OF HEALTH. THE HOSPITAL HAS MADE A COMMITMENT TO CONTINUE THE PROGRAM WITHOUT GRANT FUNDING. A PROCESS OF DIRECT REFERRALS WILL BE INSTITUTED TO ALLOW PATIENTS FROM SELECT HEALTH CENTERS TO REFER PATIENTS AT LOW SURGICAL RISK DIRECTLY FOR THE COLONOSCOPY PROCEDURE REDUCING THE WAITING PERIOD FOR OBTAINING THE PROCEDURE. THE HOSPITAL'S 3-YEAR PREVENTION ACTION PLAN INCLUDES THE FOLLOWING OBJECTIVES: TO ENCOURAGE ON-GOING INPUT AND SUPPORT FROM COMMUNITY PARTNERS AND TO ENGAGE COMMUNITY PARTNERS IN THE PREVENTION PROCESS TO HELP MEET THEIR PERCEIVED HEALTH CARE NEEDSRAISE COLON CANCER AWARENESS AWARENESS WITHIN THE HOSPITAL AND COMMUNITYEDUCATE PROVIDERS IN COUNSELING TECHNIQUES TO ENCOURAGE SMOKING CESSATIONREVIEW PHYSICIAN PERFORMANCE WITH IDENTIFYING SMOKERS AND PROVIDING ADVICE RAISE COLON CANCER AWARENESS WITHIN INSTITUTION AND COMMUNITY INCREASE SCREENING COLONOSCOPY AT INSTITUTION MEASURE SCREENING COLONOSCOPY PERFORMANCE AT INSTITUTION FOR MORE INFORMATION, CONTACT FRED BEEKMAN AT 718-206- 7050.
FINANCIAL AID PROGRAM OVER THE PAST THREE YEARS, THE HOSPITAL HAS IMPLEMENTED A FINANCIAL AID PROGRAM (THE PROGRAM) TO ENSURE THAT UNINSURED PATIENTS WHO ARE INTERESTED IN FINANCIAL ASSISTANCE CAN OBTAIN IT, WITH MINIMAL ELIGIBILITY BARRIERS. THE HOSPITAL HAS POSTED INFORMATION ON THE PROGRAM, ON ITS WEBSITE, AND IN ALL PATIENT REGISTRATION AND INTAKE AREAS - IN ADDITION TO ALL SELF-PAY BILLS. OVER THE LIFE OF THE PROGRAM, THE HOSPITAL HAS INTEGRATED THE FULL RANGE OF OPTIONS FOR UNINSURED PATIENTS INTO A SEAMLESS PROCESS WHERE ALL PATIENTS ARE SIMULTANEOUSLY EVALUATED FOR ELIGIBILITY INTO THE MEDICAID, FAMILY HEALTH PLUS/CHILD HEALTH PLUS, AND/OR THE FINANCIAL AID PROGRAM., THUS ELIMINATING MULTIPLE TRIPS TO THE HOSPITAL TO APPLY FOR THE DIFFERENT PROGRAMS. IN ADDITION, A RECORD OF ALL APPLICANTS AND THE OUTCOME OF THEIR APPLICATIONS IS STORED IN A DATABASE FOR FUTURE REFERENCE. THE NUMBER OF ELIGIBLE APPLICANTS HAS INCREASED STEADILY SINCE THE PROGRAM WAS IMPLEMENTED IN 2006, DUE TO INCREASED PATIENT AWARENESS AS WELL AS POSITIVE FEEDBACK FROM ELIGIBLE FINANCIAL AID RECIPIENTS. DISSEMINATION OF THE REPORT TO THE PUBLICCOPIES OF THE COMPREHENSIVE 2010 COMMUNITY SERVICE PLAN REPORT CAN BE OBTAINED FROM THE DEPARTMENT OF PUBLIC AFFAIRS AT 718.206.6772 OR ON THE HOSPITAL'S WEBSITE: HTTP://JAMAICAHOSPITAL.ORG/PAGES/PUB_AFF/PUB_AFFAIRS.HTM
PART VI, LINE 2: MANY OF THE PROGRAMS AND SERVICES AT JAMAICA HOSPITAL ARE CONSISTENT WITH AND SUPPORTIVE OF THE TCNY PROGRAM PROMOTED BY NYCDOH&MH.THE HOSPITAL HAS BEEN FOCUSING ON THE TEN HEALTH AREAS FROM TREATMENT AND PREVENTION PERSPECTIVES. GOING FORWARD, THE HOSPITAL WILL AUGMENT ITS FOCUS ON PREVENTATIVE ESPECIALLY IN THE PRIORITY AREAS OF SMOKING CESSATION AND COLON CANCER SCREENING, BOTH OF WHICH ARE TCNY PRIORITIES.SINCE THE HOSPITALS LAST COMMUNITY SERVICE PLAN SUBMISSION, JHMC HAS PARTNERED WITH THE WESTERN QUEENS HEALTHY LIVING PARTNERSHIP TO PROVIDE COLONOSCOPY SCREENINGS FOR PATIENTS WHO TESTED POSITIVE FROM FOBT/FIT INITIAL SCREENING. THE PARTNERSHIP INCLUDES VARIOUS OTHER QUEENS HOSPITALS. JHMC WAS ASKED TO PARTICIPATE DUE TO THE LIMITED AVAILABILITY OF COLONOSCOPIES AT THE PARTNERSHIP INSTITUTIONS.
PART VI, LINE 3: CHARITY CARE POLICYPOLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED.PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO IDENTIFY METHODS BY WHICH PATIENTS AND/OR FAMILY MEMBERS ARE NOTIFIED OF THE JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL AID POLICY.PROCEDURE: NOTIFICATION TO PATIENTS:JAMAICA HOSPITAL MEDICAL CENTER DEVELOPED AND HAS PUBLICLY AVAILABLE A CLEAR AND UNDERSTANDABLE WRITTEN SUMMARY OF ITS FINANCIAL ASSISTANCE POLICIES AND ENSURES THAT EVERY PATIENT IS MADE AWARE OF THE EXISTENCE OF THE POLICIES. THE HOSPITAL HAS A 24-HOUR EMERGENCY DEPARTMENT AND NOTIFIES PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE DURING THE INTAKE AND REGISTRATION PROCESS THROUGH THE POSTING OF CONSPICUOUS AND LANGUAGE APPROPRIATE INFORMATION, AND THROUGH INFORMATION ON ALL BILLS AND STATEMENTS SENT TO PATIENTS. IN ADDITION, THE HOSPITAL POSTS THE FINANCIAL ASSISTANCE SUMMARY ON ITS WEBSITE. THE SUMMARY OF POLICIES INCLUDES THE SPECIFIC INCOME LEVELS USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, A DESCRIPTION OF THE PRIMARY SERVICE AREA OF THE HOSPITAL, AND INFORMATION ABOUT HOW PATIENTS CAN APPLY FOR ASSISTANCE.ADDITIONALLY, THE HOSPITAL REQUIRES CONTRACTED OUTSIDE COLLECTIONS AGENCIES TO, WHEN APPROPRIATE; PROVIDE INFORMATION TO PATIENTS ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE. CHANGES IMPACTING COMMUNITY HEALTH/PROVISION OF CHARITY CARE/ACCESS TO SERVICES:THE HOSPITAL CONTINUES TO FACE EXTRAORDINARY FINANCIAL CHALLENGES INCLUDING FEDERAL AND STATE BUDGET CUTS, INCREASES IN THE UNINSURED, AND DWINDLING THIRD-PARTY REIMBURSEMENT RATES. SIMULTANEOUSLY, THE HOSPITAL HAS HAD A DRAMATIC INCREASE IN ITS EMERGENCY AND INPATIENT LOAD DUE TO NEARBY HOSPITAL CLOSINGS. POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED. PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO DEFINE THEIR RESPONSIBILITY TO CONTRIBUTE TO THEIR CARE BASED ON THEIR ABILITY TO PAY. PROCEDURE: ELIGIBILITY:JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY ENSURES THAT ANY PATIENT THAT HAS BEEN DEEMED TO BE UNINSURED THROUGH BASIC FINANCIAL SCREENING WILL BE ENTITLED TO A GLOBAL CHARITABLE DISCOUNT FOR EMERGENT (NYS RESIDENTS) AND/OR MEDICALLY NECESSARY SERVICES (RESIDES IN HOSPITAL'S PRIMARY SERVICE AREA). THE GLOBAL CHARITABLE DISCOUNT WILL BE BASED ON THE CURRENT APPLICABLE MEDICAID RATE - DEPENDING ON THE SERVICE PROVIDED. ADDITIONALLY, FOR COVERED SERVICES THERE ARE NO LIMITS ON FINANCIAL ASSISTANCE BASED ON THE MEDICAL CONDITION OF THE APPLICANT. THE HOSPITAL ALSO PROVIDES ADDITIONAL FINANCIAL ASSISTANCE TO PATIENTS WITH INCOMES BELOW 300% FPL. TO BE POTENTIALLY ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE, A PATIENT MUST BE UNINSURED OR HAVE EXHAUSTED THEIR HEALTH INSURANCE BENEFITS AND MUST BE DEEMED INELIGIBLE FOR ANY OTHER GOVERNMENT ASSISTANCE PROGRAM BY THE FINANCIAL COUNSELING OFFICE OF THE HOSPITAL. THOSE PATIENTS WHO ARE POTENTIALLY ELIGIBLE AND PROVIDE PROOF THAT THEIR INCOME IS BELOW 300% FPL CAN QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE. THE LEVEL OF ADDITIONAL ASSISTANCE WOULD BE DEPENDENT ON HOW LOW THEIR INCOME IS. THERE IS NO RESOURCE TEST FOR FINANCIAL AID ELIGIBLE PATIENTS. PLEASE NOTE THAT CERTAIN ELECTIVE SERVICES ARE EXCLUDED FROM THIS PROGRAM SUCH AS NON-MEDICALLY NECESSARY COSMETIC SERVICES AND SELF-IMPROVEMENT SERVICES.CO-PAYS AND DEDUCTIBLES ARE NOT COVERED UNDER THE PROGRAM. PATIENTS WHO DO NOT HAVE INSURANCE, AND; CHOOSE NOT TO FILE FOR ADDITIONAL CHARITABLE ASSISTANCE; ARE UNCOOPERATIVE; OR WHO ARE UNABLE TO BE LOCATED WILL HAVE THE GLOBAL CHARITABLE DISCOUNT APPLIED TO THEIR ACCOUNT(S). NO FURTHER DISCOUNTING WILL BE MADE AVAILABLE TO PATIENTS IN THESE CATEGORIES UNLESS APPROVED VIA THE APPEALS PROCESS. ANCILLARIES ARE NOT INCLUDED IN DISCOUNTING EXTENDED TO THESE PATIENTS' ACCOUNTS.JAMAICA HOSPITAL MEDICAL CENTER ALLOWS FOR ALL RESIDENTS OF NEW YORK STATE TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR EMERGENCY HOSPITAL SERVICES. FOR ANY MEDICALLY NECESSARY, NON-EMERGENT MEDICAL CARE, THE POLICY ALLOWS FOR RESIDENTS OF THE HOSPITAL'S PRIMARY SERVICE (AS DEFINED BY THE COMMISSIONER OF THE DEPARTMENT OF HEALTH), TO BE ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE. POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED. PURPOSE: TO DEFINE WHAT SERVICES ARE COVERED UNDER THE JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL AID POLICY BASED ON NEW YORK STATE MANDATORY GUIDELINES. PROCEDURE: SERVICES COVERED: JAMAICA HOSPITAL MEDICAL CENTER PROVIDES FINANCIAL ASSISTANCE FOR ALL MEDICALLY NECESSARY AND THERAPEUTICALLY BENEFICIAL SERVICES AND PROCEDURES, AND ALL EMERGENCY HOSPITAL SERVICES INCLUDING EMERGENCY TRANSFERS PURSUANT TO THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA).POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED.PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO DEFINE THEIR RESPONSIBILITY TO CONTRIBUTE TO THEIR CARE BASED ON THEIR ABILITY TO PAY. PROCEDURE: APPLICATION, APPROVAL, AND APPEAL:JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY ALLOWS PATIENTS TO APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE UP TO 90 DAYS AFTER INPATIENT DISCHARGE OR RECEIPT OF OUTPATIENT SERVICES. THE HOSPITAL REQUIRES APPLICANTS TO SUBMIT FINANCIAL DOCUMENTS TO SUPPORT THEIR APPLICATION. THE POLICY ALLOWS 20 DAYS FOR PATIENTS TO SUBMIT ADDITIONAL DOCUMENTS AND INFORMATION NEEDED TO COMPLETE AN APPLICATION. FINANCIAL ASSISTANCE APPLICANTS ARE NOT REQUIRED TO PAY THEIR HOSPITAL BILL(S) WHILE THE APPLICATION FOR ASSISTANCE IS BEING CONSIDERED AND A DETERMINATION MADE. DESIGNATED HOSPITAL STAFF ASSISTS PATIENTS IN THE APPLICATION PROCESS, INCLUDING UNDERSTANDING THE POLICIES AND PROCEDURES. PATIENTS APPLYING FOR FINANCIAL ASSISTANCE ARE REQUIRED TO COOPERATE WITH THE REQUIREMENTS OF THE APPLICATION, SUCH AS PROVIDING INFORMATION AND DOCUMENTATION NECESSARY TO RENDER A DECISION ON THE APPLICATION. TO QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE, HOSPITAL POLICY REQUIRES A PATIENT TO FIRST APPLY FOR MEDICAID OR ANOTHER INSURANCE PROGRAM, IF, IN THE JUDGMENT OF THE HOSPITAL, THE PATIENT MAY BE ELIGIBLE FOR MEDICAID OR ANOTHER HEALTH INSURANCE PROGRAM.THE HOSPITAL PROVIDES APPLICATION FORMS IN THE PRIMARY LANGUAGES OF PATIENTS SERVED BY THE HOSPITAL.DECISIONS REGARDING FINANCIAL ASSISTANCE APPLICATIONS ARE MADE BY THE HOSPITAL WITHIN 30 DAYS OF RECEIPT OF A COMPLETED APPLICATION. WHENEVER A MEDICAID APPLICATION IS ALSO BEING SUBMITTED ON BEHALF OF THE FINANCIAL AID APPLICANT, A FINANCIAL AID DECISION WILL BE RENDERED WITHIN 30 DAYS OF A MEDICAID DENIAL. THE DECISION IS PROVIDED TO THE PATIENT IN WRITING AND INCLUDES THE METHOD BY WHICH THE PATIENT CAN APPEAL A DENIAL. THE FINANCIAL ASSISTANCE DENIAL LETTERS EXPLAINS THE APPEALS PROCESS TO RE-EVALUATE DENIED APPLICATIONS; IF, OR WHEN, AN APPEAL IS REQUESTED.
PART VI, LINE 4: JAMAICA HOSPITAL MEDICAL CENTER ("JHMC" OR "JAMAICA HOSPITAL" OR "JAMAICA" OR "THE HOSPITAL") SERVES THREE PRIMARY SERVICE AREAS ("PSA") - SOUTHWEST QUEENS (SWQ), JAMAICA AND EAST NEW YORK (ENY) BROOKLYN, AND TWO SECONDARY SERVICE AREAS SOUTHEAST QUEENS (SWQ), AND WEST CENTRAL QUEENS (WCQ). THE TOTAL SERVICE AREA HAS OVER 1 MILLION RESIDENTS, 36% BEING BLACK/AFRICAN AMERICAN AND 40% BEING FOREIGN BORN. EACH NEIGHBORHOOD IS SOMEWHAT DIFFERENT IN TERMS OF ITS RACIAL AND ETHNIC MAKE-UP. MUCH OF THE HOSPITALS SERVICE AREA SUFFERS FROM POVERTY, WITH 25% MEDICAID ELIGIBLE, AND MANY UNINSURED RESIDENTS, AS WELL AS MANY DOCUMENTED AND UNDOCUMENTED IMMIGRANTS, SOME OF WHOM SPEAK LIMITED OR NO ENGLISH.DESCRIPTION OF SERVICE AREATHE HOSPITAL'S SERVICE AREA WAS DETERMINED BY ANALYZING SPARCS DISCHARGE DATA AT THE ZIPCODE LEVEL. THE HIGHEST VOLUME ZIPCODES WERE AGGREGATED INTO UNITED HOSPITAL FUND NEIGHBORHOODS. THE TOTAL SERVICE AREA COLLECTIVELY ACCOUNTS FOR APPROXIMATELY 88% OF THE HOSPITAL'S TOTAL CASES, WITH SWQ AT 42%, JAMAICA AT 26%, ENY AT 12%, SEQ CASES AT 6% AND WCQ AT 2% OF THE HOSPITALS TOTAL CASES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANTHONY DIMARIA MD
020919200011561038765010756027027400
GEOFFREY DOUGHLIN MD
38558000035640451140158930450151000
BRUCE FLANZ
544876546364004968119922257756012409066472274558600
DAVID ROSEN
831928546364005261630705757756013616095591685342100
MOUNIR DOSS
546992546364007786421163759969012435069726075800100
GIDEON YOELI
41995600023220433170163850481980000
ROBERT GREENBAUM
42340800023220451140164590487303000
SABIHA RAOOF MD
49658300000280760175190542178000
STEVEN INGLIS MD
50880800015980100110177220538139000
THOMAS SANTUCCI MD
463162000181057756069110528010000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6MEDISYS HEALTH NETWORK IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7AMEDISYS HEALTH NETWORK, AS SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION AND THE BOARD IS COMFORTABLE WITH ITS CONTENTS, THE FORM 990 IS THEN MAILED TO ALL BOARD MEMBERS AS READY TO FILE, SUBSEQUENTLY IT IS FILED WITH THE IRS.
DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT & COMPLIANCE COMMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MONITORS COMPLIANCE.FORM 990, PART VI, SECTION B, LINE 12C
EXECUTIVE COMPENSATION POLICY - THE BOARD OF MEDISYS HEALTH NETWORK HAS CREATED AN INDEPENDENT COMPENSATION COMMITTEE WHOSE CHARGE IS TO REVIEW AND APPROVE THE COMPENSATION OF ALL INDIVIDUALS WHO MEET THE REQUIREMENTS OF A DISQUALIFIED PERSON FOR INTERMEDIATE SANCTION. THIS COMMITTEE IS EMPOWERED TO APPROVE COMPENSATION FOR ALL ENTITIES WITHIN THE MEDISYS HEALTH NETWORK SYSTEM. THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT TO APPLY ITS STANDARD METHODOLOGY FOR DETERMINATION OF APPROPRIATE EXECUTIVE COMPENSATION AND BENEFIT LEVELS FOR EXECUTIVES. IT IS POLICY TO TARGET THE TOTAL COMPENSATION (BASE SALARY, INCENTIVE COMPENSATION AND BENEFITS) OF EXECUTIVES AT THE MEDIAN OF THE DEFINED MARKETPLACE FOR SIMILARLY SITUATED EXECUTIVES IN CONSULTATION WITH AN INDEPENDENT COMPENSATION CONSULTANT IN A MANNER THAT COMPLIES WITH THE INTERMEDIATE SANCTION REGULATIONS AND OTHER FEDERAL AND STATE LAWS AND REGULATIONS. THE COMMITTEE SHALL APPROVE BASE SALARIES FOR EXECUTIVES AND ANY DISQUALIFIED INDIVIDUALS BASED UPON THE AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES WITHIN THE RELEVANT MARKETPLACE, WITH POSSIBLE ADJUSTMENTS MADE FOR SPECIAL SKILL, EXPERIENCE, COMPETENCE AND PERFORMANCE, INCLUDING CONTRIBUTION TO THE SYSTEM AS A WHOLE. THE CEO SHALL RECOMMEND TO THE COMPENSATION COMMITTEE ANY ADJUSTMENTS TO THE BASE SALARIES OF EXECUTIVES.FORM 990, PART VI, SECTION B, LINE 15
GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
FOR DAVID ROSEN, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, AND BRUCE FLANZ, EXECUTIVE VICE PRESIDENT & COO, THE HOURS REPORTED REFLECT TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENT WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES.FORM 990, PART VII, SECTION A, LINE 1B:
MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST ESTABLISHED BY THE IRS TO MEET TITLE OF KEY EMPLOYEE. THEREFORE, PART VII OF FORM 990 DOES NOT HAVE ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE".FORM 990, PART VII, COLUMN C:
TRUSTEE, ANTHONY DIMARIA M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES AS A PHYSICIAN FOR JAMAICA HOSPITAL MEDICAL CENTER. ANTHONY DIMARIA M.D. RECEIVED NO COMPENSATION AS A TRUSTEE FOR JAMAICA HOSPITAL MEDICAL CENTER. TRUSTEE, GEOFFREY DOUGHLIN M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES AS A PHYSCICIAN FOR JAMAICA HOSPITAL MEDICAL CENTER. GEOFFREY DOUGHLIN M.D. RECEIVED NO COMPENSATION AS A TRUSTEE FOR JAMAICA HOSPITAL MEDICAL CENTER. FOR DAVID ROSEN, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, AND BRUCE FLANZ, EXECUTIVE VICE PRESIDENT & COO, THE HOURS REPORTED REFLECT TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENT WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES.FORM 990, PART VII, SECTION A, LINE 1B:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 132,706. PENSION ACTUARIAL LOSSES 14,799,351. CHANGE IN INTEREST IN INV. POOL 93,690. ROUNDING ADJUSTMENT -1,004. TOTAL TO FORM 990, PART XI, LINE 5: 15,024,743.FORM 990, PART XI, LINE 5:
THE OVERSIGHT AND SELECTION PROCESSES DID NOT CHANGE FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MEDISYS MANAGEMENT LLC
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113396829BILLING AND ADMIN SERVICE COMPANYNY00MEDISYS VENTURES
NHP OF INDIANA
521 FIFTH AVE 3RD FLOORNEW YORKNY10175030572979MANAGED CARE PLANNY31719226526093NHP HOLDINGS LLC
ROYAL HEALTH CARE DATA CENER LLC
5051 JOURNAL CENTER BLVD NE 410ALBUQUERQUENM87109201939732DATA PROCESSINGNM302031917112531ROYAL HEALTHCARE OF LONG ISLAND

Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ADVANCED CENTER FOR PSYCHOTHERAPY
89-06 135TH STREETJAMAICANY11418111864871HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
ALLIED HEALTH FOUNDATION OF QUEENS INC
4500 PARSONS BLVDFLUSHINGNY11355112813535INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
AMBOY PROPERTIES CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814707PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0
BROOKDALE FAMILY CARE CENTER
101-10 AVENUE DBROOKLYNNY11236113237483HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY
101-10 AVENUE DBROOKLYNNY11236237082540HOUSINGNY501(C)(2)N/ABROOKDALE HOSPITAL MEDICAL CENTER0
BROOKDALE HOSPITAL MEDICAL CENTER
ONE BROOKDALE PLAZABROOKLYNNY11212111631746HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
BROOKDALE RESEARCH FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212311634638INACTIVENY501(C)(3)3MEDISYS HEALTH NETWORK0
FLUSHING HOSPITAL MEDICAL CENTER
4500 PARSONS BLVDFLUSHINGNY11355111631781HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC
8900 VAN WYCK EXPYJAMAICANY11418113483140HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL NURSING HOME
90-28 VAN WYCK EXPYJAMAICANY11418237216197HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
LINROC COMMUNITY SERVICE CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814765SUPPORTNY501(C)(3)11AMEDISYS HEALTH NETWORK0
MEDISYS AMBULANCE SERVICE
8900 VAN WYCK EXPYJAMAICANY11418542124788HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
MEDISYS HEALTH NETWORK
8900 VAN WYCK EXPYJAMAICANY11418113316802ADMINNY501(C)(3)11A0N/A
NEIGHBORHOOD HEALTH PROVIDERS INC
521 FIFTH AVE 3RD FLOORNEW YORKNY10175943474115MANAGED CARE PLANNY501(C)(3)9JAMAICA HOSPITAL MEDICAL CENTERLINROC COMMUNITY SERVICE CORP0
PENINSULA GENERAL NURSING HOME
50-15 BEACH CHANNEL DRIVEFAR RACKAWAYNY11691237086890HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
PENINSULA HOSPITAL CENTER
51-15 BEACH CHANNEL DRIVEFAR RACKAWAYNY11691116037195HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
ROCKREAL CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814705SUPPORTNY501(C)(3)11AMEDISYS HEALTH NETWORK0
SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC
101-10 AVENUE DBROOKLYNNY11236237270262HEALTHCARENY501(C)(3)7SCHULMAN SCHACHNE INSTITUTE FOR NURSING0
SCHLANG PAVILION DBA BROOKDALE RESIDENCE HOUSING DEVELOPMENT
101-10 AVENUE DBROOKLYNNY11236113324040HOUSINGNY501(C)(3)9MEDISYS HEALTH NETWORK0
SCHULMAN SCHACHNE INSTITUTE FOR NURSING
101-10 AVENUE DBROOKLYNNY11236237085986HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
THE JAMAICA HOSPITAL DIAG AND TREAT CTR
8900 VAN WYCK EXPYJAMAICANY11418113340969HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
THE LINDEN FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212112814704INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
URBAN STRATEGIES
101-10 AVENUE DBROOKLYNNY11236113237480HEALTHCARENY501(C)(3)3LINROC COMMUNITY SERVICE CORP0
VWE PROPERTIES CORPORATION
8900 VAN WYCK EXPYJAMAICANY11418113485165PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
NHP HOLDINGS LLC
521 FIFTH AVE 3RD FLOORNEW YORKNY10175203418837HOLDING COMPANYNYJAMAICA HOSPITALLINROC COMMUNITY SERVICE CORP000
ROYAL HEALTHCARE OF LONG ISLAND
521 FIFTH AVE 3RD FLOORNEW YORKNY10175133887900MANAGEMENT SERVICES ORG.NYNHP HOLDINGS LLCMEDISYS VENTURES000

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnership
BHMC ENTERPRISES
101-01 AVENUE DBROOKLYNNY11236112855200LEASEHOLDER OF MEDICAL OFFICE BUILDING/INACTIVENYLINROC COMMUNITY SERVICE CORPC1.00000
BROOKDALE RX
101-01 AVENUE DBROOKLYNNY11236202041821RETAIL PHARMACYNYMEDISYS VENTURESC1.00000
FRR RECOVERY SERVICES
80 MARCUS DRIVEMELVILLENY11747113454555COLLECTION AGENCYNYMEDISYS VENTURESC1.00000
HI TECH MEDICAL EQUIPMENT
103-51 101 STOZONE PARKNY11416113313334DURABLE MEDICAL EQUIPMENT COMPANYNYMEDISYS VENTURESC1.00000
JAMAICA RX
8900 VAN WYCK EXPRESSWAYJAMAICANY11418205292781RETAIL PHARMACYNYMEDISYS VENTURESC1.00000
LCSC HOLDINGS
101-01 AVENUE DBROOKLYNNY11236113357198HOLDING COMPANYNYLINROC COMMUNITY SERVICE CORPC1.00000
MEDISYS HOME CARE SERVICE INC
8900 VAN WYCK EXPRESSWAYJAMAICANY11418030474027HOME CARE STAFFING/INACTIVENYMEDISYS VENTURESC1.00000
MEDISYS IPA
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113452476PHYSICIAN CONTRACTING/INACTIVENYMEDISYS VENTURESC1.00000
MEDISYS SERVICE CORPORATION
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113479920HOLDING COMPANYNYMEDISYS HEALTH NETWORKC1.00000
MEDISYS VENTURES
111 STEWART AVEHICKSVILLENY11801113431792HOLDING COMPANYNYMEDISYS HEALTH NETWORKC1.00000
MHN REALTY
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113458286REAL ESTATE/INACTIVENYMEDISYS VENTURESC1.00000
RAINBOW PHARMACY DBA FLUSHING RX
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYALLIED HEALTH FOUNDATION OF QUEENS INCC1.00000
SECOND CENTURY SERVICE CORPORATION
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYALLIED HEALTH FOUNDATION OF QUEENS INCC1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1MEDISYS MANAGEMENT LLCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeATransactionType
Amount Involved324159AmountInvolved